Cloud Claims

Cloud Claims’ incident-based design delivers a comprehensive set of capabilities, even when incidents do not develop into claims. When claims arise, the incident-based approach eliminates redundant data and streamlines claims management.

• Capture incidents, including photos, from any desktop or mobile device
• Customize first notice of loss (FNOL) fields
• Group multiple claims within a single incident
• Quickly access documentation that is common to multiple claims

As a claims-focused RMIS, Cloud Claims can handle claims across many lines of business, and streamline the entire claim workflow. One incident may result in claims hitting multiple lines, such as a construction accident with WC, property damage, and third-party BI. The incident-based approach of Cloud Claims makes it easy to manage these claims and calculate the total cost of any loss event.

• Manage all claim lines with one system
• Track claims against policies, manage deductibles and self-insured retentions
• See all claims for any individual/organization and identify repeat offenders
• Customizable email templates and form letters
• Manage reserves and payments
• Payment approval rules
• Track subrogation, salvage, and reinsurance reimbursements
• Track notes and assign follow-up tasks
• Consistent and clear processing enhances team collaboration

Automation is at the heart of Cloud Claims: trigger emails, assign tasks, schedule reports, and more, based on your business rules.

• Alert key stakeholders and enlist response teams to new incidents in real time
• Schedule reports for distribution
• Dynamically modify forms based on incident type
• Trigger email notifications at key points in a claim’s lifecycle
• Automatically create and schedule follow-up actions

Geo-redundant, unlimited storage for all your claim documents, including photos, videos, PDFs, and emails, ensures documentation is always at your fingertips.

• Attach and organize documents using tags
• Read emails and PDFs, and play back audio and video in-browser
• Link documents to specific parties, claims, and activities within an incident
• Unlimited file storage
• Email documents directly from Cloud Claims

User-friendly reporting and dashboards allow users of all experience levels to generate reports and gain new insights from Cloud Claims.

• User-customizable dashboard
• Ready-to-go reports for common use cases: loss runs, OSHA logs, payment register, etc.
• Drag and drop fields to quickly customize reports
• Group, total, and turn report data into graphs in seconds using drag and drop
• Schedule any report for delivery by email
• Export reports to Excel or CSV

Break down data silos! Cloud Claims connects to internal and external systems to create a single source of truth for your claims and risk data.

• Synchronize claim financials from TPAs and insurance carriers to consolidate reporting in Cloud Claims
• Scheduled sync with TPAs, medical bill review providers, EDI partners, etc.
• Comprehensive, open REST API
• MMSEA Section 111 (Medicare) reporting with APP Tech or any of its partners
• Data conversion from current systems

Virtually every drop down in Cloud Claims can be customized. Set your own causes, status codes, claim types, loss categories, recovery types, policy coverage classes, policy types, environmental data fields, and more.

While Cloud Claims handles traditional lines-of-business such as property & casualty, workers’ compensation, general liability, and automobile, Cloud Claims can handle your unique incidents such as customer complaints, security incidents, and audits and inspections.

Cloud Claims helps distributed organizations like hospitality, retail, and construction scale operations. As incidents are submitted and claims are processed, directors and managers have a single view for all organizational activity.

Cloud Claims is optimized for desktop and tablet use with a mobile phone-optimized First Report tool to prevents any first notice of loss (FNOL) bottlenecks.

• Stay compliant with industry regulations
• Audit trails provide a detailed view to all incident, claims and collaboration activity
• APP Tech undergoes annual SOC 2 audits